NPI: 1598219545 · SAN ANTONIO, TX 78229 · 3336C0003X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 364 | $0.00 |
| 2021 | 970 | $2K |
| 2022 | 813 | $1K |
| 2023 | 751 | $572.33 |
| 2024 | 473 | $215.32 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q0512 | Px sup fee anti-can sub pres | 1,207 | 925 | $1K |
| J7517 | Mycophenolate mofetil oral | 306 | 221 | $1K |
| J7507 | Tacrolimus imme rel oral 1mg | 769 | 487 | $878.89 |
| Q0511 | Sup fee antiem,antica,immuno | 853 | 798 | $591.61 |
| J7503 | Tacrol envarsus ex rel oral | 22 | 12 | $0.00 |
| J7518 | Mycophenolic acid | 214 | 138 | $0.00 |